Reforming Long-term Care in Europe E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Geisteswissenschaft
• Sprache: Englisch

Seitenzahl: 390

Veröffentlichungsjahr: 2011

Beschreibung

Reforming Long-term Care in Europe offers the most up-to-date analysis of the features and developments of long-term care in Europe. Each chapter focuses on a key question in the policy debate in each country and offers a description and analysis of each system. * Offers the very latest analysis of long-term care reform agendas in Europe * Compares countries comparatively less studied with the experiences of reform in Germany, the UK, Netherlands and Sweden * Each chapter focuses on a key question in the policy debate in each country and portrays a description and analysis of each system * Contributions from a wide range of European scholars for an exceptionally broad perspective

Leseprobe

Table of Contents

Cover

Broadening Perspectives on Social Policy

Title page

Copyright page

Editorial Introduction

1 Long-term Care: A Suitable Case for Social Insurance

The Backdrop

Problems for Insurers

Problems for Individuals

Strategic Policy Directions

Conclusion

Acknowledgements

2 The Long Road to Universalism? Recent Developments in the Financing of Long-term Care in England

Introduction

The Current System

Financing Long-term Care: Key Suggested Reforms

Conclusions

3 Reforming Long-term Care Policy in France: Private–Public Complementarities

Introduction

A Fragmented Policy

Reforming the Pillar of the French System: The Allocation Personnalisée d’Autonomie

Discussion: Seeking Public/Private Complementarity

What Do We Learn from the French Case?

4 Sustainability of Comprehensive Universal Long-term Care Insurance in the Netherlands

Introduction

Background of Public LTC Insurance

Main Features of Public LTC Insurance

Expansion of LTC Services and Expenditure, 1968–2005

Personal Care Budgets and Informal Care

Projections of Future LTC Expenditure

Deficiencies of Current LTC Financing

Proposals to Reform LTC Financing

Towards Sustainable LTC Financing?

Acknowledgements

5 Social Insurance for Long-term Care: An Evaluation of the German Model

Introduction

Long-term Care Insurance in Germany

Achievements and Weaknesses of the System

Conclusion

6 Long-term Care in Central and South-Eastern Europe: Challenges and Perspectives in Addressing a ‘New’ Social Risk

Introduction

Ageing Societies and Long-term Care Needs in CSEE

Welfare State Approaches to Dealing with the Risk of Long-term Care

Fragmented Long-term Care Policies as between Health and Social Care

The Emerging Welfare Mix in Long-term Care

Long-term Care as a Family Responsibility

Discussion and Future Directions

Acknowledgements

7 Devolution, Diversity and Welfare Reform: Long-term Care in the ‘Latin Rim’

Introduction

Background

Long-term Care in the ‘Latin Rim’

Fragmentation and Diversity

Reform: Institutional and Political Determinants

Discussion

Acknowledgement

8 One Uniform Welfare State or a Multitude of Welfare Municipalities? The Evolution of Local Variation in Swedish Elder Care

Introduction

Material and Methods

Generosity of Coverage: A Sign of Universalism

Local Variation over Time

Do Local Social Policies Exist in the 2000s?

New Tendencies Emerging: A Concluding Discussion

Acknowledgements

9 Reforming Long-term Care in Portugal: Dealing with the Multidimensional Character of Quality

Introduction

Quality as a Multidimensional Concept

Organizing for Long-term Care in Portugal

Structural Aspects and Attainment of Institutional Goals

Quality, Suitability and Satisfaction from Users’ Point of View

Preferences Regarding Long-term Care in Portugal

Discussion and Conclusion

Acknowledgements

Index

Broadening Perspectives on Social Policy

Series Editor: Bent Greve

The object of this series, in this age of re-thinking on social welfare, is to bring fresh points of view and to attract fresh audiences to the mainstream of social policy debate.

The choice of themes is designed to feature issues of major interest and concern, such as are already stretching the boundaries of social policy.

This is the fourteenth collection of papers in the series. Previous volumes include:

Reforming Long-term Care in Europe J. Costa-FontChoice: Challenges and Perspectives for the European Welfare States B. GreveLiving in Dangerous Times: Fear, Insecurity, Risk and Social Policy D. DenneyReforming the Bismarckian Welfare Systems B. Palier and C. MartinChallenging Welfare Issues in the Global Countryside G. GiarchiMigration, Immigration and Social Policy C. Jones FinerOverstretched: European Families Up Against The Demands of Work and Care T. Kröger and J. SipiläMaking a European Welfare State?: Convergences and Conflicts over European Social Policy P. Taylor-GoobyThe Welfare of Food: Rights and Responsibilities in a Changing World E. Dowler and C. Jones FinerEnvironmental Issues and Social Welfare M. Cahill and T. FitzpatrickThe Business of Research: Issues of Policy and Practice C. Jones Finer and G. Lewando HundtNew Risks, New Welfare: Signposts for Social Policy N. Manning and I. ShawTransnational Social Policy C. Jones FinerCrime & Social Exclusion C. Jones Finer and M. Nellis

This edition first published 2011

Originally published as Volume 44, Issue 4 of Social Policy & Administration

Chapters © 2011 The Authors

Book compilation © 2011 Blackwell Publishing Ltd

Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientific, Technical, and Medical business to form Wiley-Blackwell.

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Library of Congress Cataloging-in-Publication Data

Reforming long-term care in Europe / edited by Joan Costa-Font.

p. cm. – (Broadening perspectives in social policy; 6)

 Includes bibliographical references and index.

 ISBN 978-1-4443-3873-7 (pbk.)

 ISBN 978-1-4443-9553-2 (epdf)

 ISBN 978-1-4443-9554-9 (epub)

 1. Older people–Long-term care–Government policy–Europe. 2. Older people–Europe–Social conditions. 3. Older people–Government policy–Europe. I. Costa-Font, Joan.

 HV1481.E782R44 2011

 362.16094–dc22

2011001477

A catalogue record for this book is available from the British Library.

Editorial Introduction

Joan Costa-Font

Welcome to this book on European long-term care reform. Hopefully, you will find a very relevant set of chapters that we expect will influence the scholarly and policy debates on how best to reform the financing and organization of long-term care in Europe.

All contributors to this book have focused on an issue regarding the reform of long-term care (LTC) in their specific country of study. That is, they attempt to explain reforms in LTC provision and financing by focusing on a central issue in the social policy debate in their countries. The central theme has been left to the author’s choice, and the aspects discussed in each country are arguably a good picture of the most relevant country-specific policy questions. Furthermore, the country case studies under analysis have been selected on the basis of the existing (or lack of) evidence on the ongoing reforms in each country, and the existing literature about it. For instance, very little has been written so far on LTC reform in Eastern European countries, and almost no research is available on the reasons for reform or non-reform of LTC in Southern Europe. It was perceived that more research should be done on the sustainability of LTC financing in established systems such as the Dutch one, and on the reforms in France.

The chapters you will find in this book can be divided into two sections. The first section contains six chapters dealing with reforms in the financing of long-term care, and includes conceptual contributions alongside empirical studies from different countries in Europe, including reforms in the UK, the Netherlands, France, Germany and Eastern Europe. Then a second section looks at contributions on the reform of the organization of LTC in Spain, Italy, Sweden and Portugal.

The first chapter, by Nicholas Barr, provides an overview of traditional claims in favour of social insurance as a means of funding LTC. In particular, it examines its economic rationale and highlights that an entitlement to care is made clear in the event of old-age dependency. The second chapter, by Adelina Comas-Herrera, Raphael Wittenberg and Linda Pickard, contains an examination of policy developments in reforming LTC in the UK. It describes the rationale for reform in Britain, drawing upon the evidence of the Royal Commission and the institutional and policy designs that explore the role of choice and the provision of care. This chapter is followed by a chapter by Blanche Le Bihan and Claude Martin that examines the policy discussions that have grounded reform of LTC in France. Next, the experience of financial reform and stability of the financing of LTC in the Netherlands is evaluated in a chapter by Frederik T. Schut and Bernard van den Berg. As an example of a system of social insurance, the following chapter, by Heinz Rothgang, provides an analysis of the reforms in financing of LTC in Germany. This section is completed with a final chapter by August Österle that explores financing reforms in Central and South-Eastern Europe, where evidence from seven countries is reported: Croatia, the Czech Republic, Hungary, Romania, Serbia, Slovakia and Slovenia.

The second section discusses reforms in the organization of long-term care. This section contains three chapters. The first, authored by myself, examines the political economy of long-term care reform (and absence of reform) in Italy and Spain; I draw specifically upon the influence devolution played as a source of reform and fragmentation in Spain, and against reform in Italy. Next, reform and the question of the local variability of LTC services in Sweden is discussed by Gun-Britt Trydegård and Mats Thorslund. The final chapter is by Silvina Santana, and deals with the formal and informal settings of LTC in Portugal, focusing on two aspects: service quality and problems with the organization of care, which are essential in understanding developments in Portugal.

This book would not have been possible without the enthusiastic reception by the editorial committee of the journal, and particularly Bent Greve, and the always altruistic help of anonymous referees, which we acknowledge here. Particularly, we wish to thank Cristiano Gori, Bleddyn Davies, Andreas Hoff, Guillem Lopez Casasnovas, Ana Guillén, Anna Maria Simonazzi, Birgit Trukeschitz, Martin Powell, Martin Karlsson, Carla Rodríguez, Jolanta Aidukaite, Lucia Kosarova, Jérôme Wittwer, Christophe Courbage, Javier Hernandez, Gerdt Sundström and Francesca Bettio. Some chapters did not make it into the book due to our tight timing and our quality constraints, but as usual we hope that the motivation of participating in the book was an incentive to improve and/or complete them. Finally, I hope you enjoy reading this book as much as we enjoyed preparing it.